Individual
PAYTON RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
805 OAKHURST DR STE A, EVANS, GA 30809-3712
(706) 831-1128
(770) 230-0157
Mailing address
805 OAKHURST DR STE A, EVANS, GA 30809-3712
(706) 831-1128
(770) 230-0157
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET003883
GA
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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